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For test in Hematology 1 DelTech Owens campus chapter 9 through 11 and 16

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Question
Answer
What is the main function of RBCs?   To deliver oxygen.  
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You need what kind of iron in your body so your RBCs can transport oxygen?   Fe 2+  
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What pathway assists in maintaining Fe 2?   Methemoglobin reductase pathway  
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Glucose is required to generate __.   ATP  
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Glucose enters the erythrocyte by __ __ __.   Facilitated membrane transport  
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When we are born, are bones have only __ marrow.   red  
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When does yellow marrow begin to replace the red marrow in the long bones of extremities?   5th to 7th year  
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Adult hematopoietic tissue is limited to the __ skeleton and the __ portions of the extremities.   axial, proximal  
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Bone marrow sampling will depend on the __ of the patient.   age  
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The __ crest is a source of red marrow in adults.   iliac  
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What is the favored site for obtaining bone marrow aspirate and core biopsy specimen?   Posterior iliac crest  
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A bone marrow needle is technically called a __ __.   jamshidi needle  
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Iron is absorbed in the __ and the __.   duodinum, jejunum (both are sections of the small intestine)  
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What is a carrier protein for iron which goes to hematopoietic tissue?   Transferrin (iron enters circulation bound to transferrin)  
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Some iron is temporarily stored as __.   Ferritin  
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What are the 3 principal regulators of iron?   transferrin, transferrin receptor, ferritin  
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What are the 3 regulators regulated by?   Iron-responsive element binding protein (IRE-BP)  
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What is transferrin called when there is no iron attached?   apoferritin  
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Where is transferrin produced?   the liver  
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Iron stored in degraded Ferritin is called __.   Hemosiderin. (The iron within deposits of hemosiderin is very poorly available to supply iron when needed.)  
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In what organs is iron stored?   liver, bone marrow, and spleen  
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What does a measurement of Serum Ferritin indicate?   Iron stores in the body  
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What does a measurement of Serum Iron indicate?   Tissue iron supply  
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What does a measurement of TIBC/transferrin indicate?   Tissue iron supply  
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What does a measurement of bone marrow sideroblast count indicate?   Functional iron available  
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What is the main component of RBCs?   Hemoglobin  
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What gives blood it's red color?   Heme  
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Heme biosynthesis happens where?   mitochondria & cytoplasm of erythrocyte precursors (from rubriblast to retics) in the bone marrow.  
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Mature erythrocytes cannot synthesize __.   Heme  
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What vitamin does heme biosynthesis require?   B6  
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Heme biosynthesis begins with condensation of _ and __.   glycine, coenzyme A  
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During heme biosynthesis, glycine and coenzyme A (CoA) are catalyzed by __ __ synthase to form __.   delta ALA synthase, ALA  
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What plasma protein carries iron to the developing RBCs?   Transferrin  
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Excess iron aggregates in the cytoplasm as __.   ferritin  
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What unites with protoporphyrin 9 to make heme?   iron  
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Iron and protoporphyrin 9 combine in the presence of __ to create heme.   ferrochelatase  
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Excess accumulated iron the nucleated RBC (NRBC) results in a cell called a __.   sideroblast  
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A sideroblast is an anucleated RBC with excess __.   iron  
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The most common combo of chains that form hemoglobin A are __ and __.   two alpha, two beta  
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Hgb A2 contains 2 __ and 2 __ chains.   alpha, delta  
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Hgb F contains 2 __ and 2 __.   alpha, gamma  
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What 2 things combine to form hemoglobin?   heme and globin  
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What oxygen binding heme protein binds oxygen better than hgb?   myoglobin  
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If the oxygen dissociation curve shifts to the left, you need __ oxygen.   less oxygen  
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If the oxygen dissociation curve shifts to the left, alkalyne levels go __.   higher  
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If the oxygen dissociation curve shifts to the right, you need __ oxygen.   more  
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Normally a pO2 of __ mm is needed to saturate 50% of Hgb (P50).   27  
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An increase in PH level is generally __ (good or bad?)   good  
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What can cause an increase in PH levels?   blood transfusion, decreased body temp, Hgb F  
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A decrease in PH level is generally __ (good or bad?)   bad  
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What can cause a decrease in PH levels?   hypoxia, increase in body temp, pulmonary problems, several anemia  
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Hgb F results in an __ in oxygen saturation and affinity.   increase  
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Methemoglobin is incapable of combining with __.   oxygen  
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Sulfhgb can be __ and contains sulfur.   fatal  
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Cyanmethehemeglobin is used to quantify Hb by reading the color change of blood at __ nm and comparing it with a standard.   540  
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What does ADP stand for?   adenosine diphosphate  
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What does ATP stand for?   adenosine triphosphate  
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What comes off the Embden-Meyerhof pathway?   2,3-DPG(BPG)  
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The Methemeglobin reductase pathway maintains __ in the ferrous (Fe 2+) state.   iron  
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The Rapoport pathway is __?   part of the glycolytic pathway of human erythrocytesan and an important regulator of the affinity of hemoglobin for oxygen.  
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Without __, you can't keep oxygen in RBCs.   Fe 2+  
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If the __ __ shunt id deficient, Heinz bodies may result.   Hexose Monophosphate shunt  
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The Leubering-Rapaport shunt permits the accumulation of __.   2,3-DPG  
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What is essential for maintaining oxygen tension?   2,3-DPG  
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Anaerobic glycolysis begins with __, a glycolytic enzyme.   hexokinase  
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Anaerobic glycolysis ends with __.   Pyruvate kinase  
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The main physiological functions of the RBC membrane are to maintain cell shape __ for osmotic balance.   deformability  
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The RBC membrane acts as a supporting __ system for surface antigens.   skeletal  
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The peripheral proteins of the RBC membrane are __, __, __, __, and protein __.   spectrin, actin, GPD, ankyrin, protein 4 (SAGAP4)  
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